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3 The Role of Measurement Context
Pages 32-44

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From page 32...
... As noted above, the concepts of sex, gender, and sexual orientation are multidimensional, with dimensions that separately capture their social, behavioral, and identity aspects. With respect to gender, the study title, statement of task, and project description for this study specifically focused on measures of gender identity rather than other dimensions of gender; however, this is not the case for sexual orientation.
From page 33...
... The first session convened a panel of federal employees who had used sexual orientation and gender identity data or had implemented such data collection efforts in different data collection contexts, including survey research, electronic health records, human resources management and measurement of discrimination, and assessing workplace effects. The second session was a 1-day workshop that included panels of experts who discussed the measurement of sex and gender for intersex/DSD populations; legal and administrative issues surrounding the collection of sex, gender identity, and sexual orientation; and the measurement of sex, gender identity, and sexual orientation with clinical and medical contexts.
From page 34...
... Chapter 5 focuses on the panel's measure and research recommendations for sexual orientation identity. Chapter 6 focuses on the measurement of sex, gender identity, and transgender experience.
From page 35...
... Part I Measurement Principles, Contexts, and Methods
From page 37...
... . Sex, gender, and sexual orientation are complex and mul tidimensional, and identifying the components of these constructs that are of interest and measuring them using appropriate termi nology is critical for collecting high-quality data.
From page 38...
... This principle encompasses data collection for legal documents intended for individual identification, and external authorization or attestation should not be required when someone reports, or wishes to change, their gender identity.
From page 39...
... Data users will be unable to determine whether the data reflects sex or gender for any given respondent, which may lead to mismeasurement among those for whom sex and gender differ: in fact, this occurred with data from the U.S. Department of Veterans Affairs after a 2011 directive required medical providers to provide care based on gender identity (Burgess et al., 2019)
From page 40...
... . Clinicians consider available research on gender identity outcomes along with the child's anatomy, sex chromosomes, hormone exposure, and likely puberty, as well as the family's individual culture and values.
From page 41...
... Conceptually, gender comprises identity, expression, and social status and norms, and without explicit direction regarding the dimension on which they should base their response, respondents may report their gender on the basis of any of these dimensions, although these dimensions may differ and may be fluid across social contexts. In many ways, the measurement of gender remains in its nascent stages, with research proceeding primarily along the lines of developing a two-step measure that seeks to identify transgender populations by separately assessing sex assigned at birth and gender identity.
From page 42...
... . These concerns are particularly acute in health care, where clinical decisions are sometimes tied to sex-related differences and where gender identity affects social interactions between health care professionals and patients in ways that can affect the quality of care (Morrison, Dinno, and Salmon, 2021; Clayton and Tannenbaum, 2016; Heidari et al., 2016)
From page 43...
... A person's gender is associated with but cannot be reduced to either sex assigned at birth or specific sex traits. Therefore, data collec tion efforts should not conflate sex as a biological variable with gender or otherwise treat the respective concepts as interchangeable.
From page 44...
... To address our statement of task, we attend to the constructs of sex and gender by focusing on the measurement of sex assigned at birth, gender identity, and intersex status in self-reported data collection efforts. Together, these measures allow for the identification of individuals for whom binary measures of sex serve as a poor proxy for sex traits, as well as those for whom sex and gender may be different.


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